NPI | 1366988818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN227515) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN227515) |
Enumeration Date | 2017-01-09 |
Last Update Date | 2021-11-15 |